Source: Annual Congress 2006 - Clinical aspects of tuberculosis
Disease area: Respiratory infections

Abstract

Among 756 hospitalized tuberculosis (TB) patients (pts), about 2,5% died from TB during the ten years period (1995-2005.).
Consider the implementation of new National TB Program (NTP-started in 2000,by WHO recommendations and DOTS strategy), we were retrospectively analyzed clinical data of those pts in order to evaluate the new control/treatment approach. Pts were divided in two groups I-411 pts (2000-2005.) and II-345 pts (1995-2000).
Mortality rate was: I-2,37%/II-2,63%. These groups of pts shown significant difference in social status (retired, farmers, p<0,005), smear positive cases (I-50,3% vs. 79,35% p<0,005), case definition (new confirmed cases (p<0,005), relapses (p<0,001)), presence of extra pulmonary lesions and acutely advancing TB forms (AATF) (I-40,28% vs. II-85,3%, p<0,001), as well as duration of hospitalization (I-27,02±16,58 vs. II-64,18±13,23 days, p<0,001).
On our material, late determination of TB, insufficient treatment strategies, non-urban TB screening and big number of relapses and AAFT, are significantly improved by implementation of new NTP. Lower TB mortality rate shows potentially impact on life quality of our pts.

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K. Jandric, M. Duronjic, M. Cadjo, B. Kuzmic, M. Turic (Banja Luka, Bosnia And Herzegovina). Intrahospital mortality of tuberculosis – our experience of national tuberculosis program implementation. Eur Respir J 2006; 28: Suppl. 50, 820

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